Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Marley Rae Nielson, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1790334464

Marley Rae Nielson, PHYSICIANASSISTANT is a Physician Assistant in Pocatello, Idaho. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

333 N 18th Ave Ste B3
Pocatello, ID 83201-3358
Phone: (208) 232-2146
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1790334464
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedSeptember 5, 2019
Last updated in NPPESSeptember 5, 2019

Other providers in Pocatello